Blue Shield to require electronic claim submission

November 06, 2017
Area(s) of Interest: Commercial Payors Payor Issues and Reimbursement 

On October 26, Blue Shield of California notified physicians that for new or renewing provider agreements for 2018, it will begin requiring practices to submit their claims electronically. All claims, with the exception of those with an accompanying medical record, will be required to be submitted via electronic data interchange (EDI).

A complete list of approved clearinghouse vendors can be found on the Blue Shield website at Enroll in EDI - Provider Connection - Blue Shield of California.

Blue Shield will offer a webinar on November 9, 2017, regarding the transition to EDI claim submission. To register, log in to Provider Connection at www.blueshieldca.com/provider, select “News & Education,” then click “Register for Webinars.”

The California Medical Association has learned that Blue Shield will consider hardship exemption requests from providers on a case-by-case basis. Providers who are requesting a hardship exemption can contact their Blue Shield contract manager to discuss.

Questions can be directed to Blue Shield’s EDI Help Desk at EDI_BSC@blueshieldca.com or at (800) 480-1221.

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